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1063142271
TIMOTHY BASHA
TAMPA, FL
NPI
1063142271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
Mr. TIMOTHY BASHA
6951 PISTOL RANGE RD
TAMPA, FL 33635-9601
Phone number: 813-696-0700
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Mailing Address
Mr. TIMOTHY BASHA
1879 EAGLE TRACE BLVD
PALM HARBOR, FL 34685-3315
Phone number:
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